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Zimbabwe Situation Report 31 October 2016

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Zimbabwe Situation Report 31 October 2016 UNICEF Zimbabwe Situation Report 31 October 2016 Zimbabwe Humanitarian Situation Report © UNICEF 2016/ T.Mukwazhi 2016/ © UNICEF Situation Report #10 – 31 October 2016 SITUATION IN NUMBERS Highlights 4.1 million People facing food and nutrition • The cumulative number of children aged 6-59 months who were treated insecurity from Jan-Mar 2017 for SAM in the 20 priority districts with high global acute malnutrition (ZimVAC, July 2016) (GAM) levels (5% and above) as at the end of October 2016, was 5,104. • 5,104 During the period January 2016 to date, 1,865 typhoid cases have been Children aged 6-59 months with SAM reported in the country out of which 77 have been laboratory confirmed from 20 drought affected districts who with 6 typhoid related deaths reported. UNICEF continues to support the were admitted and treated in the CMAM typhoid response through the distribution of essential health commodities program between Jan-Sept 2016 and health promotion interventions. (DHIS, October 2016) • With recently received DFID emergency funds, UNICEF will be able to support additional life-saving Nutrition and WASH emergency 1,865 interventions in 10 drought affected districts over the next year. Cumulative typhoid cases comprising 1,788 suspected, 77 laboratory confirmed and 6 reported deaths • A total of 43,111 people in Mbire, Gokwe North and Chiredzi districts were (MOHCC, October 2016) reached through targeted HIV testing in hot spot sites using a family centered approach aimed at increasing access to HIV testing services for children and adolescents. Out of the total tested, slightly over half (52%), UNICEF Zimbabwe 2016 were children and adolescents between 0-19 years of age. Humanitarian Requirements US $21.8 million UNICEF Results with Partners 2016 UNICEF’s Results with Partners 2016 UNICEF UNICEF Carry- forward: Target Results Funds US$613,000 WATER, SANITATION & HYGIENE received to # of people provided with access to safe water 325,000 127,148 date: $3.27M (7.5-15L per person per day) HEALTH Funding # of children with diarrheal diseases have requirement: $21.8M access to life-saving curative interventions, 50,000 70,544 including oral rehydration therapy and zinc Funding gap: NUTRITION # of children 6 to 59 months with SAM admitted US$17.9M 14,711 5,104 to community-based treatment programmes CHILD PROTECTION # of vulnerable children provided with child *Funds available includes funding received for the current 31,000 23,944 appeal year as well as the carry-forward from the previous protection services year. UNICEF Zimbabwe Situation Report 31 October 2016 Situation Overview & Humanitarian Needs The El-Niño weather phenomenon’s impact on the affected population continues to negatively affect vulnerable women and children in Zimbabwe. The Zimbabwe Vulnerability Assessment Committee (ZimVAC) in July 2016 showed a deterioration in the nutritional status of children with 8 districts reporting a SAM prevalence rate above 2%. The highest SAM prevalence rates were reported in the following districts: Kariba (8.3%), Gweru (8.1%), Shamva (6.3%) and Chegutu (6%) as shown on Figure 1 below. Global Acute Malnutrition (GAM) rates ranged from 5% to 17% in the 20 most affected districts. Figure 1: Prevalence of Severe Acute Malnutrition (SAM) by District. According to the Zimbabwe National Water authority (ZINWA), the availability of water in major dams across the country continues to be critical with a reported average storage capacity across catchments of 49.7% by mid- October against an expected capacity of 64% during this time of the year. Save, Gwayi, Sanyati and Runde catchments remain the most affected with water levels currently below 50%. The catchments provide surface water to the drought affected provinces of Masvingo, Manicaland, Matabeleland South, Matabeleland North, Bulawayo, Midlands, Mashonaland East, Mashonaland West and Midlands. Humanitarian leadership and coordination The Humanitarian Country Team (HCT) led by the Resident Coordinator continues to provide overall leadership of the humanitarian response. UNICEF and the Government of Zimbabwe continue to provide coordination and leadership for the WASH, nutrition and education sectors and the child protection sub-sector. Over the past month, UNICEF and WHO conducted an analysis of cholera risk and preparedness in the WASH and Health sectors and shared the results with the Humanitarian Country Team. The risk assessment results indicated that the country remains at risk of outbreaks of diarrhoea and other waterborne diseases mainly due to the inadequate water & sanitation infrastructure. The assessment revealed that as part of preparedness UNICEF and WHO have prepositioned Health and WASH supplies at national and sub-national levels sufficient to reach up to 30,000 people. UNICEF supported a national level training on competency based WASH coordination supported by the Global WASH Cluster and Red R. The training participants included NGOs (Provincial Focal Agencies), 10 Provincial Water and Sanitation subcommittee chairpersons, representatives from the Ministry of Environment, Water and Climate and UNICEF. UNICEF Zimbabwe Situation Report 31 October 2016 Humanitarian Strategy UNICEF is working with the Government, UN Agencies and NGOs to provide access to critical and life-saving Health and Nutrition, WASH, Education, Child Protection, Social Protection, and HIV/AIDs services. As defined by the projects under the revised inter-agency humanitarian response plan and the UNICEF response plan, UNICEF is continuing to scale up its response interventions in high-risk food and nutrition insecure districts. The scale-up is being implemented in complementarity with ongoing development programmes in an effort to enhance sustainability and link humanitarian interventions with recovery and resilience building programmes. UNICEF is working with the Government and NGOs to implement the current drought response interventions in coordination with other UN Agencies. UNICEF and partners are supporting the Ministry of Health and Child Care to provide access to life-saving essential health, nutrition and WASH services through strengthening community-based management of acute malnutrition programmes and reaching children with critical water, sanitation and hygiene (WASH) services. UNICEF is supporting the Ministry of Public Service, Labour and Social welfare to strengthen child protection services to protect the most vulnerable children, particularly girls, from violence, abuse and exploitation. Children, adolescents and pregnant and lactating mothers on ARTs are being supported through advocacy for an HIV sensitive supplementary feeding programme and support for care and treatment. Communication for Development interventions are being mainstreamed in all sectors specifically focusing on the provision of technical assistance to Government and NGO Counterparts, formative research and the development of IEC materials. The Ministry of Education is being supported to implement the emergency supplementary school feeding programme and the recovery oriented home grown school feeding programme through technical support for coordination and monitoring. Summary Analysis of Programme response Nutrition Over the past month UNICEF continued to implement emergency nutrition interventions in 20 priority districts. The main activities included building the capacity for community health workers to conduct monthly active screening to identify children with MAM and SAM and refer them to health facilities for further management and treatment. Village health workers were also capacitated to provide community Infant Young Child Feeding (cIYCF) support and follow up activities for mothers of babies. To date, 362 health workers in 15 districts were trained on the management and treatment protocols for severe acute malnutrition (SAM) based on global standards. Community IYCF trainings were conducted in 6 districts, namely Buhera, Chipinge, Mwenezi, Chimanimani, Binga and Kariba districts. UNICEF will strengthen follow up and supportive supervision to enhance effectiveness of the training programmes and roll out IYCF trainings in the remaining priority 14 districts. Table 1: Total number of children with SAM admitted in the CMAM program in the 20 high risk districts from January to September 2016 District Infants less than 6 months Children 6-59 months Admissions Total HIV 0-5 months Admissions Total HIV 6-59 0-5 months Tested 0-5 HIV+ 6-59 months tested 6- months mon th s 59 mon ths HIV+ Gokwe North 11 11 0 312 310 20 Gweru 18 11 3 292 164 27 Umguza 3 1 0 141 71 20 Binga 21 17 0 361 249 8 Hwange 8 3 0 115 43 5 Makonde 13 5 0 255 68 6 Chegutu 6 3 0 341 190 45 Kariba 16 6 4 105 48 6 Mangwe 18 11 0 170 132 5 Matobo 4 2 0 92 49 15 Gwanda 14 7 0 176 101 24 Shamva 5 4 1 133 58 7 Bindura 16 2 0 107 30 6 Mount Darwin 6 5 1 299 222 28 Guruve 0 0 0 156 99 19 Mwenezi 14 12 1 211 185 19 UNICEF Zimbabwe Situation Report 31 October 2016 Chipinge 36 2 0 571 256 13 Chimanimani 11 9 1 153 107 12 Buhera 62 32 1 961 556 27 Nyanga 4 4 0 153 78 4 Total 286 147 12 5,104 3,016 316 (Source DHIS: 2) Of the 5,104 children aged 6 to 59 months who were admitted into the CMAM program in the 20 priority districts, between January and September, 3,016 were tested for HIV, with 316 of these children found to be HIV positive. A total of 213,745 children aged 6-59 months (109,469 girls and 104,276 boys) received the first dose of vitamin A supplements during the period Jan-June 2016 across the 20 districts (DHIS 2). This represents 89% of the targeted 240,051 children aged 6 to 59 months targeted for vitamin A supplementation in the 20 districts in 2016. An additional 72,042 children received the second dose of vitamin A supplementation (40,111 girls and 31,931 boys) during the period July-Sept 2016. IMAM Outcome Data for the 20 districts with high GAM levels, January – September 2016 The average cure rate across the 20 high GAM districts improved from 54.6% in August to 60.8% in September 2016 as shown on figure 1 below.
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